Lidocaine for Piles and Itchy Bottom

What is lidocaine for piles and itchy bottom?

Lidocaine is a local anaesthetic that relieves pain and itching associated with haemorrhoids (piles) and pruritus ani (itchy bottom). It works by numbing the affected area and is available in various formulations, including creams, ointments, sprays, and suppositories. Common brand names include Anusol, Germaloids, Perinal, and Xylopract and they can be bought in shops and pharmacies[1]. 

You can also find advice here on lidocaine skin cream and lidocaine for mouth and throat. 

What is lidocaine for piles and itchy bottom used for?

Lidocaine is commonly used for the following conditions[1]: 

• External piles (around the anus) 

• Internal piles (inside the rectum) 

• Itchy bottom caused by irritation or inflammation 

It helps manage symptoms but does not cure haemorrhoids. 

How does lidocaine for piles and itchy bottom work?

Lidocaine works by blocking nerve signals in the skin and mucous membranes, preventing the brain from receiving pain signals. This creates temporary numbness and reduces itching and soreness in the affected area[1]. 

Who can take lidocaine for piles and itchy bottom?

Lidocaine is suitable for most adults and children over 12 years of age. However, it is not recommended for children under 12 unless specifically prescribed[1]. 

Avoid using lidocaine if[1]: 

• You are allergic to lidocaine or other local anaesthetics 

• You have broken or infected skin in the anal area 

Please tell your doctor or pharmacist about any conditions you may have or medication you take before you start treatment, and always follow the instructions in the Patient Information Leaflet[2].  

How do you take lidocaine for piles and itchy bottom?

Different forms of lidocaine are applied in different ways[1]: 

• Cream or ointment for external use: Apply a small amount around the anus with a clean finger 

• Spray: Prime the pump and apply around the anus 

• Cream or ointment for internal piles: Use an applicator to insert a small amount inside the rectum after cleaning 

• Suppositories: Insert 2cm to 3cm into the rectum after cleaning, and lie down for about 15 minutes to allow absorption 

Always wash your hands before and after using the product. 

What is the typical dosage of lidocaine for piles and itchy bottom?

The typical dosing schedule involves applying the product several times a day[1]: 

• In the morning 

• At bedtime 

• After bowel movements 

Follow the instructions on the patient information leaflet or your pharmacist or doctor's advice. Avoid prolonged use to prevent skin sensitivity[1]. 

Can you stop taking lidocaine for piles and itchy bottom?

Yes, lidocaine is intended for short-term symptom relief. You can stop using it once your symptoms improve. If they persist beyond 7 days, consult your doctor or pharmacist[1]. 

What do you do if you take too much lidocaine for piles and itchy bottom?

Applying too much lidocaine may cause a burning sensation at the application site. If you’re concerned or symptoms worsen, seek advice from a pharmacist or doctor[1]. 

What do you do if you forget to take lidocaine for piles and itchy bottom?

If you forget a dose[1]: 

• Apply it as soon as you remember 

• If it’s nearly time for your next scheduled dose, skip the missed one 

• Do not double the dose 

How do I store lidocaine for piles and itchy bottom?

To ensure the product remains effective[1]: 

• Store below 25°C 

• Keep away from direct sunlight and moisture 

• Keep out of reach of children 

• Do not use past the expiry date 

What medicines can’t you take with lidocaine for piles and itchy bottom?

Before using lidocaine, inform your pharmacist or doctor if you’re taking or using[1]: 

• Opioids such as codeine (may worsen constipation and piles) 

• Other topical treatments (to avoid overlap or interactions) 

• Steroid creams (some lidocaine products already contain hydrocortisone) 

Always inform your doctor or pharmacist about all medications and supplements you take before you start a new medicine, and follow the instructions in the Patient Information Leaflet[2]. 

What are the side effects of lidocaine for piles and itchy bottom?

Possible side effects include both mild and more serious reactions. Common side effects include[1]: 

• Mild burning or stinging 

• Temporary numbness 

Rare side effects: 

• Skin sensitivity with prolonged use 

You should contact your GP if you experience any of these symptoms. In rare cases, the medicine may cause a serious allergic reaction (anaphylaxis). You should call 999 or visit A&E immediately if you believe this is happening[1]. 

Symptoms of anaphylaxis include[1]:  

• Difficulty breathing  

• Tightness in throat and chest  

• Swelling of the tongue or throat  

• Feeling faint or dizzy  

• Blue/grey skin or lips  

• Loss of consciousness 

If you experience any side effects, including those not listed, you are encouraged to report them via the Yellow Card Scheme or contact your doctor, pharmacist, or nurse. This information is intended as a summary for general awareness and does not replace professional medical advice. 

The information provided in the side effects section is not a comprehensive list of all possible side effects associated with this medication. For a complete list of side effects, please refer to the Patient Information Leaflet (PIL) provided with your medication or consult your healthcare professional[2]. 

Frequently asked questions about lidocaine for piles and itchy bottom

Can I use lidocaine for piles during pregnancy? 
Only under medical advice[1]. 

Is it safe for children? 
Yes, for children over 12. Younger children should only use it if prescribed[1]. 

How quickly does lidocaine for piles work? 
Relief usually begins within minutes[1]. 

Can I use it with other haemorrhoid treatments? 
Yes but check with a pharmacist or doctor[1]. 

Can I use it long-term? 
Avoid using it for more than 7 days without medical advice[1]. 

Can I use it after every bowel movement? 
Yes, this is often recommended[1]. 

What if I have broken skin? 
Avoid applying lidocaine to broken or infected skin[1]. 

For the official NHS guide to lidocaine for piles and itchy bottom, visit their website.